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Effect of nicardipine on vascular capacitance: Comparison with sodium nitroprusside during induced hypotension

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Abstract

The purpose of this study was to examine the effects of nicardipine and sodium nitroprusside (SNP) on vascular capacitance in the rat. In ten rats anesthetized with pentobarbital, mean arterial pressure was lowered to about 70 mmHg and subsequently 50 mmHg by intravenous infusion of nicardipine or SNP. Vascular capacitance was assessed before and during nicardipine- or SNP-induced hypotension by measuring the mean circulatory filling pressure (MCFP). MCFP was measured during a brief period of circulatory arrest produced by inflating a balloon inserted in the right atrium. MCFP was significantly decreased by SNP from 7.1 ±0.3 mmHg at control to 5.6 ± 0.4 mmHg and 4.4 ± 0.3 mmHg at mean arterial pressures of 70 mmHg and 50 mmHg, respectively. However, MCFP stayed at a similar level to that of the control during nicardipine-induced hypotension. These results suggest that nicardipine has a negligible influence on vascular capacitance during induced hypotension, whereas SNP has a potent vasodilating effect on the venous system as well as the arterial system.

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References

  1. Tinker JH, Michenfelder JD (1976) Sodium nitroprusside: pharmacology, toxicology and therapeutics. Anesthesiology 45:340–354

    Article  PubMed  CAS  Google Scholar 

  2. Bernard JM, Passuti N, Pinaud M (1992) Long-term hypotensive technique with nicardipine and nitroprusside during isoflurane anesthesia for spinal surgery. Anesth Analg 75:179–185

    PubMed  CAS  Google Scholar 

  3. Bernard J-M, Pinaud M, François J, Macquin-Mavier I, Letenneur J (1991) Deliberate hypotension with nicardipine or nitroprusside during total hip arthroplasty. Anesth Analg 73:341–345

    PubMed  CAS  Google Scholar 

  4. Rothe CF (1986) Physiology of venous return. An unappreciated boost to the heart. Arch Intern Med 146:977–982

    Article  PubMed  CAS  Google Scholar 

  5. Samar RE, Coleman TG (1978) Measurement of mean circulatory filling pressure and vascular capacitance in the rat. Am J Physiol 234:H94-H100

    PubMed  CAS  Google Scholar 

  6. Yamamoto J, Trippodo NC, Ishise S, Frohlich ED (1980) Total vascular pressure-volume relationship in the conscious rat. Am J Physiol 238:H823-H828

    PubMed  CAS  Google Scholar 

  7. Whiting RL, Dow RJ, Graham DJM, Mroszczak EJ (1990) An overview of the pharmacology and pharmacokinetics of nicardipine. Angiology 41:987–991

    PubMed  CAS  Google Scholar 

  8. Hoka S, Takeshita A, Yamamoto K, Ito N, Yoshitake J (1985) The effects of ketamine on venous capacitance in rats. Anesthesiology 62:145–148

    PubMed  CAS  Google Scholar 

  9. Ito H, Hirakawa S (1984) Effects of vasodilators on the systemic capacitance vessels, a study with the measurement of the mean circulatory pressure in dogs. Jpn Circ J 43:388–404

    Google Scholar 

  10. D'Oyley HM, Tabrizchi R, Pang CCY (1989) Effect of vasodilator drugs on venous tone in conscious rats. Eur J Pharmacol 162:337–344

    Article  PubMed  Google Scholar 

  11. Liang J, Hoka S, Okamoto H, Kawasaki T, Yoshitake J (1993) Changes in venous capacitance during prostaglandin E1-induced hypotension; comparisons with trinitroglycerin. J Anesth 7:303–307

    Article  PubMed  CAS  Google Scholar 

  12. Hoka S, Siker D, Bosnjak ZJ, Kampine JP (1987) Alteration of blood flow and vascular capacitance during induced hypotension in deafferented dogs. Anesthesiology 66:647–652

    PubMed  CAS  Google Scholar 

  13. Miller RR, Vismara LA, Willaim DO, Amsterdam EA, Mason DJ (1976) Pharmacologic mechanisms for left ventricular unloading in clinical congestive heart failure. Differential effects of nitroprusside, phentolamine, and nitroglycerine on cardiac function and peripheral circulation. Circ Res 39:127–133

    PubMed  CAS  Google Scholar 

  14. Waite RP, Pang CCY, Walker MJA (1988) Effects of calcium antagonists on mean circulatory filling pressure in the conscious rat. J Cardiovasc Pharmacol 12:499–504

    PubMed  CAS  Google Scholar 

  15. Fielden R, Owen DAA, Taylor EM (1974) Hypotensive and vasodilator actions of SK&F 24260, a new dihydropyridine derivative. Br J Pharmacol 52:323–332

    PubMed  CAS  Google Scholar 

  16. Verhaeghe RH, Shepherd JT (1976) Effect of nitroprusside on smooth muscle and adrenergic nerve terminals in isolated blood vessels. J Pharmacol Exp Ther 199:269–277

    PubMed  CAS  Google Scholar 

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Sohn, JT., Hoka, S., Yamaura, K. et al. Effect of nicardipine on vascular capacitance: Comparison with sodium nitroprusside during induced hypotension. J Anesth 10, 199–203 (1996). https://doi.org/10.1007/BF02471391

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  • DOI: https://doi.org/10.1007/BF02471391

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